Job Summary

Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation and evaluation. Oversees the plan of care, utilizes effective problem solving strategies and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and provides compassionate and family centered care for Pediatric Intensive Care Unit patients.

Job Specific Duties

• Ensures completion of patient admission history and accurately completes the discharge planning process as per department and hospital policies and procedures. 
• Plans, implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. 
• Provides nursing care that includes IV site monitoring, specimen collection and assists medical team with specific procedures.
• Follows physician’s orders, administers and reconstitutes medications when needed. Adheres to five rights of medication administration per Medication Administration policy. 
• Collaborates and participates in daily rounds with multi-disciplinary team as appropriate and fosters a Family Centered Care Environment. 
• Utilizes electronic innovations to provide efficient patient care and attends to patient call lights in a manner that promotes patient safety per hospital policy.
• Ensures proper and safe sedation administration to patients and monitors recovery as per the Sedation policy and procedure. 
• Completes all nursing multi-system assessment that includes head to toe, vitals, dressing changes, suction, feeding, bathing ,med administration, and repositioning 
• Ensures appropriate restraint orders, use and documentation as required by Sedation policy and procedure. 
• Accesses electronic health record (EHR) independently according to hospital policy and completes accurate and timely documentation in the patient’s electronic health record. 
• Communicates and documents critical lab results per hospital policy and procedures. 
• Communicates with patients and families to review plan of care and solicits input; communicates any patient and family concerns to physician. 
• Promotes a working environment that is “error free” in all quality indicators through assessment of all body systems- prevention of central line and catheter associated urinary tract infections, avoidance of falls, ouch-free procedural pain and pain reduction, observes skin integrity for prevention of skin breakdown, ensures proper and safe wound care, secures endotracheal tubes when applicable, and zero based medication errors – by following the 5 rights of Medication Administration, consistently providing high-quality safe care as prompted. 
• Provides patient information and effectively completes the hand off process during walking rounds at shift change and patient reassignments. 
• Ensures proper personal protective equipment (PPE) indication and use.